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MRS. LISA R MARTIN LCSW
NPI 1417002197
Social Worker - Clinical in Patrick Afb, FL

Active since January 24, 2007
1370 PATRICK DR, PATRICK AFB, FL 32925(321) 494-8234(321) 494-8074 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Lisa R Martin Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA R MARTIN LCSW (NPI 1417002197) is an individual clinical provider in Patrick Afb, Florida, licensed in Florida (SW2979) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1417002197
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. LISA R MARTINCredential: LCSW
Location Address1370 PATRICK DRPatrick Afb, FL 32925-3606
Mailing Address455 Indian Creek DrCocoa Beach, FL 32931-2833 · (321) 784-3532
Phone(321) 494-8234
Fax(321) 494-8074
Sole ProprietorYes
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1417002197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW2979
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1370 PATRICK DR, Patrick Afb, FL 32925
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Other Identifiers 1

Medicare UPINVAD000FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Martin's NPI number?

The NPI number for Lisa Martin is 1417002197. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Lisa Martin located?

Lisa Martin practices at 1370 Patrick Dr, Patrick Afb, FL 32925. The listed phone number is (321) 494-8234.

What is Lisa Martin's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Lisa Martin was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.